Laparoscopic drainage of an intramural duodenal hematoma

A 21-year-old man was admitted with vomiting and abdominal pain 3 days after sustaining blunt abdominal trauma by being tackled in a game of American football. A diagnosis of intramural hematoma of the duodenum was made using computed tomography and upper gastrointestinal tract contrast radiography....

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Bibliographic Details
Published in:Journal of gastroenterology 1999-02, Vol.34 (1), p.119-122
Main Authors: Maemura, T, Yamaguchi, Y, Yukioka, T, Matsuda, H, Shimazaki, S
Format: Article
Language:English
Subjects:
Abdominal Injuries - complications
Abdominal Injuries - diagnosis
Abdominal Injuries - surgery
Adult
Duodenal Diseases - diagnosis
Duodenal Diseases - etiology
Duodenal Diseases - surgery
Follow-Up Studies
Football - injuries
Hematoma - diagnosis
Hematoma - etiology
Hematoma - surgery
Humans
Laparoscopy
Male
Rupture
Suction - methods
Tomography, X-Ray Computed
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnosis
Wounds, Nonpenetrating - surgery
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Summary:A 21-year-old man was admitted with vomiting and abdominal pain 3 days after sustaining blunt abdominal trauma by being tackled in a game of American football. A diagnosis of intramural hematoma of the duodenum was made using computed tomography and upper gastrointestinal tract contrast radiography. The hematoma caused obstructive jaundice by compressing the common bile duct. The contents of the hematoma were laparoscopically drained. A small perforation was then found in the duodenal wall. The patient underwent laparotomy and repair of the injury. Laparoscopic surgery can be used as definitive therapy in this type of abdominal trauma.
ISSN:0944-1174
1435-5922
DOI:10.1007/s005350050226